| NPI | 1427889492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK DANIELS Execuive Director 337-577-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |